London's Pulse: Medical Officer of Health reports 1848-1972

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Twickenham 1935

[Report of the Medical Officer of Health for Twickenham]

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10
Birth Control.
Facilities are available by which women, in whom pregnancy is to be avoided for mcdical
reasons, may obtain the necessary advice at a Birth Control Clinic in London.
Care of mothers during Confinement.
The Corporation have not established a Maternity Home and no formal arrangement
has been made with any hospital for the reception of complicated or difficult cases of labour.
Although the services of a consultant are available to medical practitioners in cases of
complicated or difficult labour, no request for these services was received during the year.
Midwives or Home Helps were provided in approved cases to attend necessitous women
who desired to be confined at home, as follows:—
Midwives 6
Home Helps 3
Subsequent to Confinement.
The services of a consultant are available for case of puerperal pyrexia when medical
practitioners desire a special opinion and the patient is not in a position to afford an adequate
fee. No application was received for these services during the year.
Milk was supplied to 23 necessitous nursing mothers.
Dental treatment was provided in approved cases, for nursing mothers as follows:—
Nursing mothers 20
Total attendances 51
Dentures supplied 8
Child Welfare.
Home Visiting.
The Health Visitors called at the homes when a birth occurred in 626 cases out of the
live births notified. Visits of enquiry were also made in the case of 11 still births and of 11 infant
deaths.
The visits paid to homes by the Health Visitors during the year included the following:—
To expectant mothers 217
To children under one year of age 3043
To children between the ages of 1 and 5 years 4303
Winter School for Health Visitors.
During each winter one of the Health Visitors attends a study course. By this means they
are enabled not only to refresh their knowledge of the work but to be kept in touch
with developments in Maternity and Child Welfare work.
Infant Welfare Centres.
The infant consultations were held on four afternoons weekly throughout the year ; that at
Murray Park Hall, Whitton, being held on Monday and those at York House on Tuesda)',
Wednesday and Thursday afternoons.

The total attendances numbered 7,S19. In this figure only those attending for consultation or weighing are counted.

New cases.Centre No. 1. York House.Centre No. 2. Whitton.Totals.
Under 1 year25007347
1 to 5 yearsG748115
Mothers8311
Total Attendances:—
Under 1 year355215315083
1 to 5 years18278912718
Mothers15318
Total attendances at all the Centres7819

The Centres are primarily for observation and advice as to the care and nutrition of
children. Medical and surgical treatment are not carried out. When these arc found necessary,
as is frequently the case, the parent is referred to a private doctor or to a hospital. During
the year treatment was advised for 100 children and was obtained by 93.